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GI° Group Term to Age 100 Life Insurance, Monthly Premium² Quotes
For Eligible EMPLOYEES of 10-249 life Employer Groups. GI° Max. $70,000.

NONTOBACCO
This rate card is for groups sitused in Maryland. This rate card expires and is no longer valid on 12/31/2025.
The appropriate Illustration Certification must be completed in all states.
Monthly Premium for Monthly Premium for
Issue Group Term to 100 Initial Death Benefit¹ of: Issue Group Term to 100 Initial Death Benefit¹ of:
Age $50,000 $60,000 $70,000 $75,000 Age $50,000 $60,000 $70,000 $75,000
18 $15.00 $18.00 $21.00 $22.50³ 50 $58.79 $70.55 $82.31 $88.19³
19 $15.00 $18.00 $21.00 $22.50³ 51 $64.88 $77.85 $90.83 $97.31³
20 $15.00 $18.00 $21.00 $22.50³ 52 $71.00 $85.20 $99.40 $106.50³
21 $15.00 $18.00 $21.00 $22.50³ 53 $77.08 $92.50 $107.92 $115.63³
22 $15.00 $18.00 $21.00 $22.50³ 54 $83.17 $99.80 $116.43 $124.75³
23 $15.00 $18.00 $21.00 $22.50³ 55 $93.75 $112.50 $131.25 $140.63³
24 $15.00 $18.00 $21.00 $22.50³ 56 $102.21 $122.65 $143.09 $153.31³
25 $15.00 $18.00 $21.00 $22.50³ 57 $110.67 $132.80 $154.93 $166.00³
26 $15.25 $18.30 $21.35 $22.88³ 58 $119.13 $142.95 $166.78 $178.69³
27 $15.50 $18.60 $21.70 $23.25³ 59 $127.58 $153.10 $178.62 $191.38³
28 $15.75 $18.90 $22.05 $23.63³ 60 $135.96 $163.15 $190.34 $203.94³
29 $16.00 $19.20 $22.40 $24.00³ 61 $149.04 $178.85 $208.66 $223.56³
30 $16.25 $19.50 $22.75 $24.38³ 62 $162.13 $194.55 $226.98 $243.19³
31 $17.08 $20.50 $23.92 $25.63³ 63 $175.25 $210.30 $245.35 $262.88³
32 $17.92 $21.50 $25.08 $26.88³ 64 $188.33 $226.00 $263.67 $282.50³
33 $18.75 $22.50 $26.25 $28.13³ 65 $201.42 $241.70 $281.98 $302.13³
34 $19.58 $23.50 $27.42 $29.38³ 66 $221.58 $265.90 $310.22 $332.38³
35 $20.42 $24.50 $28.58 $30.63³ 67 $241.71 $290.05 $338.39 $362.56³
36 $21.29 $25.55 $29.81 $31.94³ 68 $261.88 $314.25 $366.63 $392.81³
37 $23.13 $27.75 $32.38 $34.69³ 69 $282.00 $338.40 $394.80 $423.00³
38 $24.88 $29.85 $34.83 $37.31³ 70 $302.13 $362.55 $422.98 $453.19³
39 $26.63 $31.95 $37.28 $39.94³ 71 ^ $355.58 $426.70 $497.82 $533.38
40 $28.38 $34.05 $39.73 $42.56³ 72 ^ $369.04 $442.85 $516.66 $553.56
41 $31.13 $37.35 $43.58 $46.69³ 73 ^ $383.58 $460.30 $537.02 $575.38
42 $33.83 $40.60 $47.37 $50.75³ 74 ^ $404.54 $485.45 $566.36 $606.81
43 $36.54 $43.85 $51.16 $54.81³ 75 ^ $429.58 $515.50 $601.42 $644.38
44 $39.29 $47.15 $55.01 $58.94³ 76 ^ $529.75 $635.70 $741.65 $794.63
45 $42.00 $50.40 $58.80 $63.00³ 77 ^ $561.71 $674.05 $786.39 $842.56
46 $45.42 $54.50 $63.58 $68.13³ 78 ^ $587.54 $705.05 $822.56 $881.31
47 $48.79 $58.55 $68.31 $73.19³ 79 ^ $610.58 $732.70 $854.82 $915.88
48 $52.13 $62.55 $72.98 $78.19³ 80 ^ $635.00 $762.00 $889.00 $952.50
49 $55.46 $66.55 $77.64 $83.19³
° Guarantee Issue (GI) underwriting limits are subject to account specific offer. Quotes denoted † or ³ are not Guarantee Issue and require
d answering Evidence of Insurability questions.
¹ Initial Death Benefit is guaranteed level for the first five (5) years. After the first five years, the death benefit may decrease, but it will never
be less than the minimum guaranteed in the policy. The current, non-guaranteed death benefit is projected to be level to age 100.
² Premium is level to age 100. MONTHLY means 12 times per year.

^ Evidence of insurability (EOI) is required for ages 71-80 and quotes in excess of U/W offer (³).
For Agent Use Only. Not for use with consumer sales. Not to be disseminated to the public.
This rate card is for certificate form GPTLC, or state variation thereof, underwritten by American Heritage Life Insurance Company. Refer to the state specific brochure or
po icy form for exact benefits, imitations, exc usions, and other provisions app icab e to the state of so icitation. A state Benefits is the marketing name for American

FOR HOME OFFICE USE ONLY: Settings were Maryland-Employee-MONTHLY-GI-REGV-60-TRUE-0-0-N-Initial Death Benefit-50000-60000-70000-75000

Version 5.6 (Rev. 12/11/2024) Page 1 of 2 Printed 1/8/2025 3:06 PM

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